Efficacy of the morphine-prostigmin test for evaluating patients with suspected papillary stenosis.

Abstract:

:The morphine-Prostigmin test (MPT) has been advocated as a diagnostic test for identifying patients with papillary stenosis. We studied 14 patients referred for possible papillary stenosis with the MPT and ERCP sphincter of Oddi manometry. The response to the MPT (symptoms, serum amylase/lipase values) was evaluated by multiple criteria. The MPT was also done on 6 volunteer control subjects. Operative evaluation of the sphincter of Oddi was obtained in 8 of the 14 patients. There was no correlation between the results of the MPT and ERCP manometry or operative findings. There was good correlation, however, between ERCP manometric findings and operative assessment of the sphincter of Oddi. Fifty percent of the volunteer subjects had a significantly positive enzyme response to the MPT. In our experience the MPT does not reliably detect patients with papillary stenosis.

journal_name

Dig Dis Sci

authors

LoGiudice JA,Geenen JE,Hogan WJ,Dodds WJ

doi

10.1007/BF01299827

subject

Has Abstract

pub_date

1979-06-01 00:00:00

pages

455-8

issue

6

eissn

0163-2116

issn

1573-2568

journal_volume

24

pub_type

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